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by Pratima Chaurasia, Dmitriy Berenzon, and Ronald Hoffman

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1 by Pratima Chaurasia, Dmitriy Berenzon, and Ronald Hoffman
Chromatin-modifying agents promote the ex vivo production of functional human erythroid progenitor cells by Pratima Chaurasia, Dmitriy Berenzon, and Ronald Hoffman Blood Volume 117(17): April 28, 2011 ©2011 by American Society of Hematology

2 Effect of chromatin-modifying agents on ex vivo expansion of CB-EPCs.
Effect of chromatin-modifying agents on ex vivo expansion of CB-EPCs. (A) Effect of chromatin-modifying agents on ex vivo expansion of CB-CD34+: CD34+ cells were isolated from 5 individual CB units and treated with different HDACIs including SAHA (1μM), VPA(1mM), and TSA (1nM) and their effect on the number of CD34+ and CD34+CD90+cells following 7 days of culture was determined. The fold expansion of CD34+and CD34+CD90+ cell numbers was determined by dividing the total numbers of viable cells expressing the phenotype by the number of primary cells expressing the same phenotype multiplied by 100. A significant difference was observed between degree of expansion of CD34+cells (P = .01) and CD34+CD90+ cells (P = .02) obtained with VPA-containing cultures compared with cultures containing cytokines alone (n = 5). (B) Effect of HDACIs on the absolute number of BFU-E + CFU-Mix: CD34+ cells from 5 individual CB collections treated with cytokines and SAHA (1μM), VPA (1mM), or TSA (1nM) for 7days. The numbers of hematopoietic colonies were enumerated after 14 days. A greater number of BFU-E + CFU-Mix were generated in the presence of cytokines plus each of the HDACI (VPA, P = .002; SAHA, P = .04; and TSA, P = .08) compared with cultures containing cytokines alone. ■, BFU-E + CFU-Mix. (C) Effect of VPA on the fate of a single CD34+ cells: single primary CD34+cells and/or CD34+ isolated after 7 days of culture in the presence of cytokines alone and/or cytokines + VPA were deposited into 96-well plate in triplicate and supplemented with SCF, Epo, and IL-3. The number and types of HPC (BFU-E, CFU-Mix, and CFU-GM) were determined after 14 days of incubation (*P = .005; n = 3). Pratima Chaurasia et al. Blood 2011;117: ©2011 by American Society of Hematology

3 Phenotypic and genetic analyses of hematopoietic cells after ex vivo cell culture.
Phenotypic and genetic analyses of hematopoietic cells after ex vivo cell culture. (A) Phenotypic analyses of VPA-treated CD34+ cells: CD34+ cells after 7 days of culture in the presence of cytokines alone or cytokines + VPA were analyzed by flow cytometrically. The expression of erythroid-specific markers (CD36, CD71, and GPA) and nonerythroid markers (CD14, CD15, and CD19) was assessed with appropriate lineage-specific monoclonal antibodies. For each mAb, the corresponding anti-isotype antibody was used in parallel to test the specificity of staining. Dot plots represent the percent expression of particular markers in day-7 cultures (n = 4, 1 of the 3 representative experiments is shown). (A) Cytokines alone; (B) cytokines + VPA. (C-D) Fold change in expression levels of genes associated with HSC/HPC and erythroid commitment: effects of VPA treatment on the relative transcript levels of genes (Dnmt1, Bmi1, Smad5, Ezh2, Eklf, EpoR, GATA1, GATA2, and Pu.1) was calculated by SYBR Green Q-PCR. Total RNA was extracted from primary CD34+ cells (day 0) and CD34+ cells isolated after 7 days of culture in the presence of cytokines with or without VPA treatment. GAPDH and tubulin was used as internal housekeeping genes. A relative mean normalized fold change in mRNA expression of VPA-treated CD34+ cells and CD34+ cells from cultures with cytokines alone were compared with the expression of these same genes in primary CB-CD34+ cells. Measurements were obtained in triplicate and a negative control (lacking the cDNA template) was included in each assay. , cytokines alone; , cytokines + VPA (n = 4). Pratima Chaurasia et al. Blood 2011;117: ©2011 by American Society of Hematology

4 Histone acetylation status of ex vivo–generated CD34+ cells and promoters of erythroid-specific genes. Histone acetylation status of ex vivo–generated CD34+ cells and promoters of erythroid-specific genes. (A) Analyses of histone acetylation. Representative flow cytometric analysis of the histone H3K9 acetylation status of primary CD34+cells, VPA-treated CD34+ cells, and CD34+ cells cultured in the presence of cytokines alone after 7 days of culture. Cells were stained with H3K9 antibody to assess the acetylation level of lysine 9 residue of histone H3 (n = 3). One of 3 representative experiments is shown. (B) Analyses of acetylated histone H3K9/14 and H3K27 on the promoters of erythroid lineage-specific genes, a stem cell gene (c-Kit), and a nonhematopoietic gene (MyoD) of cytokines alone and VPA-treated CD34+ cells as determined by ChIP assay. A reduction of H3K9/14 and H3K27 acetylation was observed with all of the promoters on the CD34+ cells isolated from cell culture with cytokines alone compared with cells cultured cytokines + VPA. ChIP efficiency, in terms of the percentage of input DNA recovered by immunoprecipitation, was determined by Q-PCR (primers were designed within −1-kb promoters of the erythroid lineage-related genes). A sample with no antibody (No Ab) was used as a background control. The histogram represents mean percentage of fold change relative to input chromatin and SE (n = 3). (C) Percent acetylation of H3K9/14 and H3K27 relative to histone H3 in CD34+ cells from cultures containing cytokines alone and cytokines + VPA. The percentage of acetylation of H3K9/14 and H3K27 relative to total histone H3 was determined on the erythroid lineage-specific promoters, a stem cell gene (c-Kit), and a non hematopoietic gene (MyoD) of CD34+ cells isolated from cultures performed in the presence of cytokines alone and cytokines + VPA cultures after 7 days of incubation. Histogram represents mean ± SE of ChIP Q- PCR (n = 3). Pratima Chaurasia et al. Blood 2011;117: ©2011 by American Society of Hematology

5 Characterization of the transfusion product.
Characterization of the transfusion product. (A) Morphologic appearance of cells within the transfusion product. (i) Day-7 cells possessed an agranular cytoplasm. The nuclei of the cells had an open chromatin pattern and prominent nucleoli. (ii) Day-9 cells were smaller with compact and relatively smaller nuclei. (iii) Erythroid islands characterized by normoblasts surrounding a macrophage were observed in day-9 cultures. Giemsa-Wright staining (×1000 magnification). (B-C) Phenotypic analyses of the transfusion product: FACS analyses of the cells after days 7 and 9 of incubation was performed by immunostaining with various mAbs to lineage-specific markers including CD36, CD71, GPA, CD14, CD15, CD19, and chemokine receptor marker CXCR4. One of 4 representative experiments is shown. Pratima Chaurasia et al. Blood 2011;117: ©2011 by American Society of Hematology

6 Functional behavior of ex vivo–generated TPs in NOD/SCID mice.
Functional behavior of ex vivo–generated TPs in NOD/SCID mice. (A) Analyses of human erythroid cells in peripheral blood of NOD/SCID mice receiving the TP. The mean ± SD of the percentage of human erythroid cells in the blood of NOD/SCID mice on serial days as described by double staining with LDS (nuclei) and human GPA. LDS+GPA+ represents human EPCs (dotted line) and LDS−GPA+ represents erythrocytes (solid line). Evidence of human EPCs and/or erythrocytes was not observed in control mice (black line indicates LDS−GPA+; and LDS+GPA+, gray line). Two to 3 mice were analyzed in each group (n = 2). (B) Representative histogram of human erythroid cells present on day 5 in the peripheral blood of NOD/SCID mouse. Similar results were obtained in an additional experiment. (C) Detection of human globins (β and γ) in the NOD/SCID mouse blood 15 days following the infusion of the transfusion product. Primers of mouse α-globin, human β and γ globins were mixed together and expression of globin mRNA was analyzed from cDNA prepared from mouse blood on day 15 by RT-PCR. Hu-β (212 bp), hu-γ (165 bp), RhD antigen (90 bp), and mouse-α (122 bp) gene products are shown on a 1.8% agarose gel. Lanes M1 and M2 contain DNA marker (a 100-bp ladder and 50-bp ladder); lane 1, blood from control NOD/SCID mouse; and lane 2, blood from NOD/SCID mouse infused with the transfusion product. One representative of 2 experiments is shown. (D) Human cell engraftment in the marrow of NOD/SCID mice. (i) Mouse bone marrow was harvested and analyzed on day 15 (NOD/SCID mice, n = 2) and (ii) in separate series of experiment NOD/SCIDγcnull mice day 30 (n = 3) after the infusion of the TP. Pratima Chaurasia et al. Blood 2011;117: ©2011 by American Society of Hematology


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